AAPC - Certified Professional Coder (CPC) Certification Exam QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR – JUST RELEASED

Page 1 of 33



AAPC - Certified Professional Coder (CPC) Certification Exam

QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST

UPDATE THIS YEAR – JUST RELEASED

AAPC - Certified Professional Coder (CPC) Certification Exam - ANSWER-Exam Coverage




The exam coverage includes the essential competencies required for the American Academy of

Professional Coders (AAPC) - Certified Professional Coder (CPC) Certification Exam. It focuses on

accurate medical coding using ICD-10-CM, Current Procedural Terminology (CPT), and HCPCS

Level II. The exam also assesses knowledge of medical terminology, anatomy, and healthcare

documentation. In addition, it evaluates understanding of coding guidelines, modifiers,

compliance and regulatory standards, reimbursement methodologies, and the ability to

accurately interpret medical records to assign appropriate diagnostic and procedural codes in

professional healthcare settings.




QUESTION: A compliance plan may offer several benefits, including: - ANSWER-* more accurate

payment of claims


* fewer billing mistakes

, Page 2 of 33


* improved documentation and more accurate coding


* less chance of violating self-referral and anti-kickback status




QUESTION: A healthcare clearing house is a - ANSWER-entity that processes nonstandard health

information they receive from another entity into a standard format




QUESTION: A key provision in HIPAA is the Minimum Necessary requirement. this means -

ANSWER-only the minimum necessary protected health information should be shared to satisfy

a particular purpose.




QUESTION: A medically necessary service is the - ANSWER-least radical service/procedure that

allows for effective treatment of the patients' complaint or condition




QUESTION: "hold harmless clause" - ANSWER-* found in some non-Medicare health plan

contracts


* prohibits billing to patient for anything beyond deductibles and co-pays.

, Page 3 of 33


QUESTION: A patient sustaining an injury to her great saphenous vein would have sustained

injury to which of anatomical site? - ANSWER-Leg




QUESTION: APC - ANSWER-Ambulatory Payment Classification




QUESTION: ARRA - ANSWER-American Recovery and Reinvestment Act (of 2009)




QUESTION: ASC - ANSWER-Ambulatory Surgical Centers




QUESTION: Abuse consists of - ANSWER-payment for items or services that are billed by

providers in error that should not be paid for by Medicare.




QUESTION: An ABN protects the provider's financial interest by - ANSWER-creating a paper trail

that CMS requires before a provider can bill the patient for payment if Medicare denies

coverage for the stated service or procedure.

, Page 4 of 33


QUESTION: An entity that processes nonstandard health information they receive from another

entity into a standard format is considered what? - ANSWER-Clearinghouse




QUESTION: As a part of Health Care Reform, the Affordable Care Act of 2010 amended the

definition of fraud to remove the __________ requirement - ANSWER-intent




QUESTION: By statute, all work RVUs, must be examined no less often than - ANSWER-every 5

years




QUESTION: CF - ANSWER-Coversion Factor - fixed dollar amount used to translate the RVUs into

fees




QUESTION: CMS - ANSWER-Centers for Medicare and Medicaid




QUESTION: CMS developed polices regarding medical necessity are based on regulations found

in title XVIII, $1862(a) of the - ANSWER-Social Security Act